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General NPI Number Information
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NPI Number | 1811975915
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Entity Type | Individual
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Provider Name | MICHAEL E MCCLEERY P.A.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 799 E HAMPDEN AVE STE 305
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2766
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Country | US
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Telephone | 720-307-7246
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Fax | 720-502-5271
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Provider Business Mailing Address
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Address Line | 9195 GRANT ST STE 205
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City | THORNTON
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State | CO
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Zip | 80229-4386
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Country | US
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Telephone | 720-307-7246
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Fax | 720-502-5271
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1678
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1678
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License Number State | CO
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